Drugs available on Contract - [MIDAZOLAM 5MG/ML INJ (BRA/COL) ], []

Contract Number	40
Brand Code	6212P
Brand Name	MIDAZOLAM 5MG/ML INJ (BRA/COL)
Active Ingredient	MIDAZOLAM
Trade Name	MIDAZOLAM
Package Size	20X10ML
Formulary Category	B
Pkg Price	67.22
Unit Price	3.36
Strength	5MG/ML
Unit Description	INJECTION
Max. Reimbursable Quantity / Month	0
Package Description	VIAL
Manufacturer Code	BRA
Manufacturer Name	B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE
Agent Code	COL
Agent Name	COLLINS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	No
Therapeutic Code	282408
Therapeutic Desc	BENZODIAZEPINES (SEDATIVES)
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	CENTRAL NERVOUS SYSTEM DRUGS
Amend Date